Assistant General Counsel II

SUMMARY:   

Under the direction of the General Counsel, this position will serve in an advisory capacity to the Enterprise and business units. Conducts research where necessary, examine records, conducts investigations, attends depositions, consult with witnesses, insured(s), legal assistants, and/or personnel.  Participate in negotiations on behalf of the Company including settlements.  In addition, this position will provide leadership and expertise on major company projects as necessary

Claims Focus:  This position will provide state specific legal representation for the company before courts, arbitration panels and/or administrative bodies. Serve in an advisory capacity to company and employees. Prepare legal pleadings, motions, memorandums, trial briefs, etc. Conduct research where necessary, examine records, attend depositions, consult with witnesses, insured(s), legal assistants, and/or personnel. Prepare appeals and perform the necessary research. Participate in negotiations on behalf of the company including settlements. In addition, this position will provide leadership and expertise on major company projects as necessary

Compliance Focus: This position is also responsible for supporting the Corporate Compliance Division within the Office of the General Counsel by directing and assisting leaders in the interpretation, application, and implementation of legal and regulatory requirements throughout the enterprise. Provides guidance to corporate leaders and individual employees on compliance issues, assist with investigations of alleged compliance violations, and recommend corrective action plans enterprise-wide. Consults with business areas and other subject matter experts to identify compliance requirements, implement the requirements, assess risks, and recommend compliant solutions that support business goals. This position acts as subject matter expert on applicable regulations, oversees training and awareness programs, and serves as an independent and objective body to review and evaluate compliance issues/concerns within the organization.

Contract Management Focus: This position is responsible for overseeing the contract activity for the enterprise. The position works with all business units to identify contract needs, draft agreements, review/edit contracts, create service level agreements and performance guarantees, and negotiate agreements. Maintains contract templates and develops as needed non-routine specialized contract vehicles and techniques to accomplish business goals and objectives. Generally involves independent judgment and analysis of significant issue identification and resolution. Develops new contract policies and processes as required.

Medicare Focus: Act as company resource for all aspects of Medicare’s involvement in workers compensation settlements. Prepare Medicare set aside (MSA) documents including anticipated medical expenses and life expectancy.  Determine and coordinate submissions to Center of Medicare/Medicaid Services (CMS) when necessary.  Evaluate claims to reduce future MSA costs.

RESPONSIBILITIES/TASKS (core for all): 

1. Responsible for applying legal principles, knowledge and skills based on experience.
2. Evaluates and selects appropriate legal techniques, procedures and criteria using judgment in solving legal issues.
3. Drafts and/or dictates legal correspondence and memorandums and works with minimal supervision on all assigned matters. 
4. Conducts legal research and offers timely legal opinions and advice upon reasonable demand.
5. Provides objective assessment of risk areas.
6. Works on special projects as assigned.

Additional Claims Focus Responsibilities: 

• Provide legal representation in court, arbitration and/or administrative agencies. May assist other attorneys with appearances.
• Give work direction to legal support professionals in the department.
• Prepare for and attend depositions.
• Prepare for and attend hearings and appeals.

Additional Compliance Focus Responsibilities: 

1. Coordinates the expansion of the corporate compliance program to ensure compliance with all applicable legal requirements. Monitors enforcement and ongoing effectiveness of the Compliance Program and makes recommendations for improvement. 
2. Coordinates requests for compliance and ethics investigations. 
3. Reports regularly on compliance matters to the General Counsel and Co